Case Study Chapter 63 Musculoskeletal Problems Osteoporosis approx 30 min Patient Profile L. is a 75-year-old woman who presents to the health care…
Question Answered step-by-step Case StudyChapter 63 Musculoskeletal ProblemsOsteoporosisapprox 30 minPatient ProfileL.M. is a 75-year-old woman who presents to the health care provider’s office for back pain. She has a history of hypertension, Crohn’s disease, and hypothyroidism. She is currently taking the following medications:Metoprolol 50 mg PO twice dailySulfasalazine 500 mg PO twice dailyPrednisolone 5 mg PO twice dailyLevothyroxine 75 mcg PO dailySubjective DataHas had some mid-back pain for the past week, which is worse when standing or walking and is relieved a little by lying downHer back pain at the moment is a level 4 on a 1 to 10 scaleDenies any recent injury to her backBroke her wrist a few months ago, but does not know howHer Crohn’s disease just “flared up” a couple of weeks agoLactose intolerantObjective DataTemperature 98.2°F, pulse 74, respirations 16, blood pressure 130/78Height 5’3″, weight 100 lb, BMI 17.7 kg/m2Kyphosis of the spineQuestion 1The health care provider suspects L.M. has osteoporosis. What are her risk factors for osteoporosis?The risk factors for her osteoporosis includes: lactose intolerance, prednisolone, Crohn’s disease, and kyphosis of the spine.Question 2What studies could be done to support the diagnosis of osteoporosis?Some studies that can be done to support the diagnosis include: Bone scan, DEXA scan, CT scan, and bone density test. Question 3M.’s diagnostic testing yielded a bone density T-score of -3. What does this mean?A bone density T-score of -3 means osteoporosis.Question 4L.M. is prescribed alendronate. What instructions should L.M. receive regarding taking this medication? Question 5What nutritional teaching is important for L.M. with her new diagnosis of osteoporosis? Question 6What other teaching is appropriate for L.M.? Health Science Science Nursing RNSG 1341 Share QuestionEmailCopy link Comments (0)


